Committee Meetings and Minutes

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Nursing Advisory Committee

Meeting Minutes

Current Status of Minutes: Final
Date	April 10, 2015
Time	8:00 AM - 10:00 AM
Location	Eastview Campus

Members Present
Gail Acuna, Linda Carpenter, Sally Foster, Kathryn Geiger, Sandra McCrary-Marshall, Patricia Recek, Gail Roberts, Yvonne VanDyke, Nancy Walters, Teresa Zercher
Guests Present
Dale Wilson-Austin State Hospital, Pamela Foster

Item # 1:	Approval of Agenda
Presenter	Yvonne VanDyke
Discussion	Yvonne VanDyke moved to have Introductions of members be added to the agenda and requested approval of the agenda, seconded by Gail Acuna. Approved by general consent of members present.

Item # 2:	Introductions
Presenter	Yvonne VanDyke
Discussion	Members introduced themselves around the table and the agency they represented.

Item # 3:	Approval of Minutes
Presenter	Yvonne VanDyke
Discussion	Yvonne VanDyke moved approval of the November 2014 minutes as presented, seconded by Gail Roberts approved by general consent.

Item # 4:	Clinical Facility Updates
Presenter	Individual Agency Representatives
Discussion	Acute Care: Seton: Sally Foster reported continued growth at all Seton facilities. Seton will be conducting new pump training soon. She requested some super users from the school's faculty to be trained to teach the students. Karen Hamell from Seton Dell-they are currently hiring both ADN and LVN grads. Dell has a new organizational chart. Y. VanDyke reported that the entire Seton organization is in the process of reorganizing with several new titles etc. Contacts will be changing and the schools will be notified as to what the chain of communication is going to be going forward. The new teaching hospital is under construction. Seton is in the process of training and retraining staff in hopes of not taking bad habits into a new facility. Michelle Roberts has taken over as President of Seton's Hospital Division. She has a background as a Nurse and Pediatric Nursing. St. David's: Gail Acuna reported that St. David's currently is in a stable holding pattern. At the present time, three CNO positions are vacant. St. David's Central, Round Rock and Heart Hospital. The St. David's system hired 240 GN's last year. Currently continuing to hire ADN's but they are placed on the growth track to get their BSN Central Texas Medical Center: Pamela Foster reported CTMC has increased census with the growth in the Hay County area. CTMC is hiring new grads with both ADN and BSN education. Scott and White Healthcare: Stacy Heart reported that the Scott and White Clinics are currently hiring both ADN and LVN graduates in their facilities. University of Texas-Austin-Dr. Carpenter reported construction is currently underway at UT. The Nursing building will be doing construction in order to increase and update simulation to be used by both Nursing and the Medical School. Currently scheduling Fall 2016 courses for both the Medical School and the Nursing program. Curriculum Change: UT will be adding a Young Professional Course, Complex Care along with Inter-professional education. Currently there is a very strong interest in the ADN-RN programs with greater seamless transition. UTA RN to BSN program currently graduates about 22 student per year. Many of those student are moving right ahead to graduate school. Simulation Days, Maternity Clinical, Faculty Development (New teaching strategies regarding simulation) Yvonne ask the committee to think about how the new Medical school will impact their hospitals and nursing staff? Long Term Care: Cornerstone: No Representation Present Heritage Park: Ms. Helou reported that Heritage is excited to have the LVN students rotating through their facility. She reported that their patient census is remaining steady. Westminster Manor: No Representation Present Health South: No Representation Present Reliant Hospital: No Representation Present Austin State Hospital: No Representation Present Austin State Supported Living Center: Legislation is being considered to delete funding for this agency which will result in closing. If this accrued, it would have a significant impact on the residents, some of which have lived in our facility most of their lives. Shoal Creek: No Representative Present Community: Lone Star Circle of Care: No Representation Present Travis County Jail: It was reported that the jail hires both RN and LVN's. The staff does a lot of discharge planning and mental health training. Dell Valley Jail: No Representation Present

Item # 5:	Vocational Nursing Report
Presenter	Sandra McCrary Marshall
Discussion	Current Enrollment: COHORT Level 1 Level 2 Level 3 Level 4 Total By Campus EVC 31 33 0 22 86 FBG 0 0 0 5 5 Total 31 33 0 27 91 Graduates: Spring 2013=26 Fall 2013-23 EVC & 10 FBG Spring 2014-24 EVC Fall 2014-23 EVC Spring 2015-22 EVC & 5 FBG PN NLCEX Pass Rates: Year End Report 2012 (January 1, 2012-December 31, 2012) = 90.32% Year End Report 2013 (January 1, 2013-December 31, 2013) = 94.55% Year End Report 2014 (January 1, 2014-December 31, 2014) =98.28% Curriculum: * The program continues to implement simulation within the curriculum. Areas of content include Medical-Surgical nursing, Pediatrics and Obstetrics. Feedback from students reflects knowledge of positive learning experience. Approximate Hours of Simulation within the program: Level Hours of Simulation % of Simulation I 8 12% II 16 7% III 16 7% IV 24 10% Total 64 36% * Feedback on the student evaluations of the clinical sites continues to be positive. * The program continues to expand into non acute care sites: Clinics, doctor's offices, schools, correctional facilities, and rehabilitation units, etc. * The program continues to explore articulation agreements with higher level institutions for student who wish to advance their nursing careers. Advisory Committee approval of Proposed New Curriculum * Your response from the email sent on August 5, 2014 unanimously approved the new proposed curriculum. * The New Curriculum was approved by ACC's Curriculum and Programs Committee on September 19, 2014. * New proposed curriculum has been submitted to the Board of Nursing * New proposed curriculum is in the progress of being submitted to ACEN. The VNG program will implement new curriculum revisions starting Fall 2015. Main objectives accomplished with new curriculum:  program length is shorter  course offerings maintains alignment with national standards while still allowing attainment of SLOs and program outcomes,  compliance with both the BON and the ACEN. (Accrediting Commission for Education in Nursing, Inc.) Currently, the VNG program contains: * 53 SCHs Total-1584 contact hours * Theory: 656 * Clinical: 928 (96 of that skills lab and 64 simulation) * Length: 6 semesters including the prerequisites A comparison of other VNG programs in the State: * SCHs: 44-48 * Length- 12-13 months http://www.dshs.state.tx.us/chs/cnws/EducReports.shtm#Vocational * ACEN: Accrediting Commission for Education in Nursing, Inc. New Curriculum o 43 Semester Credits o Program length – 3 semesters o TX BON=Contact Hours: compliance with the Board of Nursing requirements for the minimum contact hours for theory and clinical in a VN program. (Theory 558, minimum clinical 840 hrs.) o Comply with the Accrediting Commission for Education in Nursing, INC (ACEN) standards that state program length must be consistent with the policies of the governing organization, state and national standards, and best practice. See attached current degree plan. (Green Sheet) NEW-3 Semester Degree Plan Changes implemented in the new revised curriculum included: * Addition Human Anatomy and pharmacology in the first two semesters with nursing courses; these courses could be taken ahead of time and included as part of the "ranking" formula * Adding an differentiated test (ATI-TEAS 5 ) as part of "ranking" for admission. * Additional Nursing Courses: Gerontology, Nutrition, and Growth and Development. 3-semesters- Considerations/Concerns 1. Faculty main concern - student retention. (Program will be very rigorous) - 2. Shorter program does allow for student to more rapidly progress to ADN or BSN program. 3. Students are out into the workforce earlier. Future Vision: * High School to LVN * Military Articulation * Evening and weekend program Update: * Outcome of ACC's Vocational Nursing Program SWOT –Our office will be resending out this for your input within the next week or so.

Item # 6:	Associate Degree Nursing Report
Presenter	Nancy M. Walters
Discussion	I. . Program Data A. Enrollment Spring 2015 508: Current Enrollment Level I Level II Level III Level IV Mobility Total 110 128 120 118 32 508 RSNG 1105 – Nursing Skills – Spring 2015-112 B. Admission Cycles Change due to Texas Board of Nursing Background Check Requirements http://www.austincc.edu/health/rnsg/deadlines.php C. Graduates Summer 2015-Anticipated 32 Spring 2015-Anticipated 118 Fall 2014 111 D. NCLEX Results RN Year: October 1 – September 30 2014 - 94.37 (201/213) 2013 – 90.8% (237/261) 2012 - 97.09% (267/275) II. Curriculum Updates  Degree Plan responding to the mandate to award Associate Degree Programs in 60 credits was submitted, Implementation Fall 2015 Copy of Current Curriculum and Proposed Curriculum attached Nursing Credits = 36/ 60% General Education Credits = 24 /40% Proposed change in the Speech requirements. The changes that we did make were that we returned to the HPRS 2300 Pharm instead of offering our own. We also added two more nursing credits back into our Level 1 courses. One of the courses we lost was PYSC-2314-Human Grown and Development which was very helpful for our OB/PEDI rotations. We will have our National Accreditation Visit in the Fall 2016 as will the Vocational Nursing program.  Simulation 5-8% in each med-surg clinical course. Incorporating some aspect of Electronic Health Records in all courses III. Faculty Updates: * Continue to have some resignation/retirements * Positions currently posted * Simulation Coordinator opening at Round Rock Campus IV. Other * THECB Grant Proposal (Simulation) * Bridging the Gap (Between Education and Practice) Grant * Continuing to plan an RN to BSN program pending Legislative approval. The Coordinating Board forwarded the Rand Company report for legislative action. * Nursing Center for Workforce Studies 2014

Item # 7:	Announcements and College Updates
Presenter	All Present
Discussion	Yvonne VanDyke reported that at a meeting she attended this week it was suggested that Nurses create care plans for patient as they go home to insure the success of each patient's outcome. Gail Acuna asked the schools (ACC and UT) why a lot of the new graduates do not want to go into Med-Surg, instead, most want to go straight into specialty areas. Nan added that most student don't see Med-Surg as a specialty. However, Med-Surg is a great place to get a point of reference for their transition to practice. Med-Surg is an outstanding place to learn Time-Management and prioritization skills needed to deal with higher numbers and severity of patients. Linda Carpenter added that with UT recent curriculum change, they now have Adult Med-Surg in every semester. She suggested that students will be better grounded in all that happens in Med-Surg areas. Pamela Foster reminded the Committee that Med-Surg nursing usually has the highest patient to nurse ratio of all the specialties. It is also important that the new nurse stays on a unit for 2-3 years. Yvonne VanDyke interjected nursing schools only gives students a snapshot of an experience with certain types of patients. The reality is that we must get better at transitioning student nurses into experienced nurses. Gail Acuna announced St. David's Healthcare Partnership was the recipient of the Malcolm Baldridge National Quality Award and the leadership of St. David's Partnership will be traveling to Washington DC on Sunday to accept the award. Pat Recek added ACC Health Sciences is planning an Open House for late Fall 2015 or early spring 2016 to allow an opportunity for interested persons to visit the Health Science programs at EVC. Please be watching for your invitation. College Updates - Interim Executive Dean for Health Sciences –Pat Recek reported the following: ACC Bond Proposals- Two of the bond proposals were approved, with the expansion of Highland Mall Regional Simulation Center. The proposed completion of this expansion is Fall 2019. Current plan is approximately 19000 sq feet of simulation area. A building for Vet Tech program at the Elgin campus is planned. Expansion of the Round Rock Campus will include a general purpose classroom. The college will also be part of a First Responders Center at the Hays Campus which will be a Training Center for Emergency Management. At the end of the Summer the FBG campus will close. The community will move to another service area if the legislation passes. The LVN cohort will graduate in May and the ADN Mobility track students in August. It is a very sad time and event for faculty and staff. The Associate Degree Nursing Program was awarded a Coordinating Board Grant to increase the use simulation across the curriculum. Current space will be converted and redesigned at EVC to allow for a control room with a simulation room on either side to be built and redesign the Pedi/OB simulation area.

Item # 8:	Adjournment
Presenter	Yvonne VanDyke
Discussion	Next meeting will be scheduled for the fall, the members present supported the morning meeting time for scheduling. Meeting was adjourned at 9:35.

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